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[quote=Anonymous][quote=Anonymous]For people that had no epidural and a worse experience than with an epidural, were you with an OB or midwifery practice? I’m just wondering if it could be related to OBs not knowing how to handle the lack of epidural. (It could also be unrelated, but this is an online forum and not science, so I’m just wondering)[/quote]

OBs understand pain management. It's ridiculous to assume that only midwives understand pain management.

It's my belief that at the end of the day how much pain (for a normal natural birth, not a birth requiring unusual steps, intervention, surgery, etc.) you feel is determined mostly by factors that are out of your control  by the time delivery day rolls around and doesn't have much to do with who is overseeing your actual birth.

If anything your prenatal care will have more have to do with it than care on the day of (again, assuming no complications which require intervention). A huge baby (which is partially luck/genetics, but also proper prenatal care if there's diabetes can keep the baby from becoming HUGE in some cases) is going to be more painful to deliver naturally and may bring complications. Poor maternal nutrition also is going to cause more weakness in the mother.

More than anything, there's a lot of luck of the draw and other factors that are determined way before. Whether you have a fast or slow labor (assuming a first child) is mostly luck. Precipitous labor is going to last far less time (though it can be more intense/scary) but it is mostly luck and genetics that determines whether you go into precipitous labor. Some women have 'back labor" but again, they can't predict if this is going to be you.

Pain tolerance varies from person to person and that's shaped by a variety of factors, too. 
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